<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01//EN"
        "http://www.w3.org/TR/html4/strict.dtd">
<html>
<head>
       	<meta http-equiv="content-type" content="text/html; charset=utf-8">
       	<title>{PAGE_TITLE}</title>	
       	<style type="text/css">
			/*margin and padding on body element
			  can introduce errors in determining
			  element position and are not recommended;
			  we turn them off as a foundation for YUI
			  CSS treatments. */
			body {
				margin:0;
				padding:0;
			}
		</style>		       	
	
	<!-- fonts -->
			<link rel="stylesheet" type="text/css" href="{absRoot}lib/YUI/yui/build/fonts/fonts-min.css" />
	<!-- fonts -->
	
	<!-- DMS style sheet -->				
			<link rel="stylesheet" type="text/css" href="{absRoot}css/dms.css" />
	<!-- DMS style sheet -->
	
	<!-- Xajax initialization code -->
		{XAJAX_INIT}
	<!-- Xajax initialization code -->			
			
</head>
<body class="yui-skin-sam">       					
	<div class="ticket_window">				
		<div class="font_title" style="background-color:#0066CC;">Status:</div>
		<div class="font_small" style="padding-left:10px;"><span class="font_bold">Call Status:</span> {CALL_STATUS} <select><option>Select</option></select> </div>
		<div class="font_small" style="padding-left:10px;"><span class="font_bold">Call Purpose:</span> {CALL_PURPOSE} <select><option>Select</option></select> </div>
		
		<div class="font_title" style="background-color:#0066CC;">For Follow-Up:</div>
		<div class="font_small" style="padding-left:10px;"><span class="font_bold">Date:</span> {FOLLOWUP_DATE} <select><option>Select</option></select> <select><option>Select</option></select> <select><option>Select</option></select> </div>
		<div class="font_small" style="padding-left:10px;"><span class="font_bold">Time:</span> {FOLLOWUP_TIME} <select><option>Select</option></select> <select><option>Select</option></select> <select><option>Select</option></select> </div>
		
		<div class="font_title" style="background-color:#0066CC;">For Donation:</div>
		<div class="font_small" style="padding-left:10px;"><span class="font_bold">Amount Pledged:</span> {AMOUNT_PLEDGED} <input type="text" /> </div>
		<div class="font_small" style="padding-left:10px;"><span class="font_bold">Donation Bracket:</span> {DONATION_BRACKET} <select><option>Select</option></select> </div>
		<div class="font_small" style="padding-left:10px;"><span class="font_bold">Donation Mode:</span> {DONATION_MODE} <select><option>Select</option></select> </div>
		<div class="font_small" style="padding-left:10px;"><span class="font_bold">Donation Pickup Dates:</span> {DONATION_PICKUP_DATES} <input type="text" /> </div>
		<div class="font_small" style="padding-left:10px;"><span class="font_bold">Donation Schedule:</span> {DONATION_SCHEDULE} </div>
		<div class="font_small" style="padding-left:20px;"><input type="radio" />Monthly <input type="radio" />Semi-Annually <input type="radio" />Quarterly</div>
		<div class="font_small" style="padding-left:20px;"><input type="text" style="width:20px;" /> Divide to x number of months.</div>
		<div class="font_small" style="padding-left:5px;"><input type="checkbox" />Auto-schedule Pick-up dates.</div>
		
		<div class="font_title" style="background-color:#0066CC;">For Donation Update:</div>
		<div class="font_small" style="padding-left:10px;"><span class="font_bold">Donation Ticket:</span> {DONATION_TICKET} <input type="text" /> </div>
		<div class="font_small" style="padding-left:10px;"><span class="font_bold">Amount:</span> {EXPECTED_COLLECTION} <input type="text" /> </div>
		<div class="font_small" style="padding-left:10px;"><span class="font_bold">Expected Time:</span> {EXPECTED_TIME} <select><option>00</option></select> <select><option>00</option></select> <select><option>00</option></select> </div>				
		
		
		<div class="font_title" style="background-color:#0066CC;">Notes:</div>
		<div class="font_small" style="width:270px;"> <textarea style="width:265px; height:90px;"></textarea> </div>		
	</div>
	<div style="clear:both;"></div>	
</body>
</html>
